Exaggerated blood pressure response to exercise is not associated with masked hypertension in patients with high normal blood pressure levels

Alon Grossman, Noa Cohen, Joseph Shemesh, Nira Koren-Morag, Avshalom Leibowitz, Ehud Grossman*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

The association between exaggerated blood pressure (BP) response to exercise (ExBPR) and "masked hypertension" is unclear. Medical records of patients with high-normal BP who were evaluated in the Chaim Sheba Screening Institute Ramat Gan, Israel, during the years 2002-2007 and referred for 24-hour ambulatory BP monitoring (ABPM) and exercise test were reviewed. Data on exercise tests performed in the preceding 5 years were retrieved. Reproducible ExBPR was defined when it was recorded at least twice. BP levels on 24-hour ABPM were compared between patients with a normal BP response and those with an ExBPR (systolic BP ≥200 mm Hg). Sixty-nine normotensive patients with high normal BP levels were identified. ExBPR was recorded in 43 patients and was reproducible in 28. BP levels on 24-hour ABPM were similar in patients with and without ExBPR. In patients with high-normal BP levels, ExBPR is not associated with masked hypertension.

Original languageEnglish
Pages (from-to)277-282
Number of pages6
JournalJournal of Clinical Hypertension
Volume16
Issue number4
DOIs
StatePublished - Apr 2014
Externally publishedYes

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